BHARAT UPADHYAY MD
NPI 1912951740
Internal Medicine - Pulmonary Disease in Port St Lucie, FL

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1700 SE HILLMOOR DR, SUITE 200, PORT ST LUCIE, FL 34952(772) 335-9600(772) 398-7951 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Bharat Upadhyay Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BHARAT UPADHYAY MD (NPI 1912951740) is an individual pulmonary disease provider in Port St Lucie, Florida, licensed in Florida (ME 46808) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1912951740
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBHARAT UPADHYAYCredential: MD
Location Address1700 SE HILLMOOR DR, SUITE 200Port St Lucie, FL 34952-7539
Mailing Address1700 Se Hillmoor Dr, Suite 200Port St Lucie, FL 34952-7539 · (772) 335-9600 · Fax (772) 398-7951
Fax(772) 398-7951
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateMay 19, 2006
Last NPPES UpdateJanuary 20, 2022
NPI 1912951740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME 46808
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1700 SE HILLMOOR DR, Port St Lucie, FL 34952

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bharat Upadhyay Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507936838
PECOS Enrollment IDI20080529000606
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,050 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
785 services410 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
172 services171 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
172 services171 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
172 services171 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
153 services136 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
92%1,015 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%869 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers143 claims143 services$36.99 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers14 claims14 services$12.14 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers168 claims168 services$90.52 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers170 claims435 services$34.32 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers69 claims367 services$18.72 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers52 claims295 services$14.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1700 SE HILLMOOR DR, SUITE 500
PORT ST LUCIE, FL 34952
Nurse Practitioner
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
Family Medicine
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
Emergency Medicine
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952
Clinic/Center (Multi-Specialty)
1700 SE HILLMOOR DR, SUITE 200
PORT ST LUCIE, FL 34952
Internal Medicine (Hematology & Oncology)
1700 SE HILLMOOR DR, STE 306
PORT ST LUCIE, FL 34952
Chiropractor
1700 SE HILLMOOR DR, STE 502
PORT ST LUCIE, FL 34952
Internal Medicine (Cardiovascular Disease)
1700 SE HILLMOOR DR
PORT ST LUCIE, FL 34952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bharat Upadhyay's NPI number?

The NPI number for Bharat Upadhyay is 1912951740. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Bharat Upadhyay located?

Bharat Upadhyay practices at 1700 SE Hillmoor Dr Suite 200, Port St Lucie, FL 34952. The listed phone number is (772) 335-9600.

What is Bharat Upadhyay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Bharat Upadhyay enrolled in Medicare?

Yes. Bharat Upadhyay is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bharat Upadhyay accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Bharat Upadhyay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bharat Upadhyay affiliated with any hospitals?

According to CMS data, Bharat Upadhyay is affiliated with Cleveland Clinic Martin North Hospital, Hca Florida Lawnwood Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Bharat Upadhyay was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.